侧脑室内肿瘤的微外科治疗(附29例病例报告).pdfVIP

摘 要 侧脑室内肿瘤的显微外科治疗（附29例病例报告） 研究生：买买江·阿不力孜 导师：柳琛 教授 摘 要 目的：侧脑室内肿瘤最佳的手术入路目前仍有争议，本文总结了按肿瘤起源决 定侧脑室内肿瘤手术治疗的策略和经验。方法：回顾性分析自2002年1月至2009年1 月在我院接受手术治疗的29例侧脑室内肿瘤病人的临床资料。14例病人采用经皮层 入路，15例病人采用经纵裂入路。结果：23例肿瘤全切除, 6例次全切除。86.20%病 人病理证实良性和低级别胶质瘤。65.51%病人得到良好的恢复，20.67%病人留下轻 微功能障碍。随访时间3个月～6年，平均2.3年，随访23例,失访5例,痊愈18例，复发3 例，肢体偏瘫无好转1例，1例转移瘤患者于术后4个月死于原发肿瘤（肺癌）。结论： 侧脑室内肿瘤病人准确选择手术入路可以得到良好的治疗效果。经纵裂胼胝体入路 是较理想的手术入路，但对于肿瘤较大或肿瘤向脑实质延伸者或继发性脑室内肿瘤 病人来说经皮层入路是较好的选择。肿瘤应争取全切, 但不可强求全切，残留部分可 进行放疗和/或化疗。 关键词：侧脑室; 肿瘤; 手术入路; 显微外科 —1— 新疆医科大学医学硕士学位论文 Microsurgical treatment of lateral ventricle tumors : A series of 29 cases Postgraduate: Maimaijiang.Abulizi Supervisor: Prof. Liu chen Abstract Objective: Optimal surgical management in lateral ventricle tumors remains controversial. We conducted a retrospective study of patients with these lesions treated with a surgical strategy on the basis of tumor origin. Methods : 29 consecutive patients underwent operation for lateral ventricle tumors at our hospital since 2002 year. The transcortical approach was used in 14 patients, and Transcallosal approach was used in 15 patients; Results :Total resection was performed in 23 patients,subtotal resection in 6 patients. 86.20 percent of tumors were benign and low-grade tumors.65.61% of patients achieved good recovery,and 20.67% patients still have moderate disability. Postoperative follow-up was performed from 3 months to 6 years, the mean follow-up period was 2.3 years.23 patients were followed ,5 cases were lost. 18 cases obtained full recovery, 3cases of recurrence ,one patient is still p